Application for Membership

Application for Membership
Legal Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Are you over the age of 18? *

Yes
Name or "Nickname" you would like used on the site? *
May we share the email address provided above with other members of Ord Brighideach? *

Yes No
If No to the above question, do you have another email address you would like to share with the members?
example@example.com
What aspect of Brighid calls to you? *
Would you like to serve Brighid as a : *

Flamekeeper (You vow to keep your Vigil or see that it is covered by another member of your Circle so that the perpetual devotion of Brighid's fire is not broken. Watertender (You vow to keep your Vigil by honoring Brighid by protecting and maintaining her healing waters) Both (You will vow to do both of the above)
I accept Ord Brighideach Terms of Use. (Please review our Terms and Privacy Policy Page) *

Yes I accept
Application Fee

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USD Clicking the Submit button will send your directly to PayPal to complete your application.
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